Laserfiche WebLink
i, � <br />• PERMIT <br />� <br />APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everelt, WA 98201 425•257-8810 FAX 425-257-8857 www.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM —� <br />ADDRESS: O ^�� Av�- PROPERiYTA%00 a�0��00 P H IT <br />52 2 s. �. OoS 3 I I�10- 0�- <br />LEGAL for newcon5lruclinn. Short PlaUsubdivis�on <br />OWNER '�+/AN YT�� <br />Address 7i�Z S. Z�'° RvE • <br />Lol No (atlach copy ol Iong Icgal desa�ption) <br />Phone�E�r�aA -1�5 � 23Z- /g�� <br />�,t/A . `% Ti 2-0 3 <br />_OwnCr _O�mer';Agent ./�.anlraeior _Conlraetor';Agenl _Tenanirm��•iyo.�ooaiec.ioico�:e��inommn,....�r�oeow�nM•nn;ma�� <br />DANC� <br />�� �� /�n �N � <br />BUILDING PERMIT APPLICATION <br />'rc�.5 ,_ a � ��� a Sr,t�v�AES � �359 co� e�5 <br />�V�'. -/b"�� PhonM[mail -(ZS- /g�� /�o�� <br />P�onME-ma�l <br />PRICE OF WORK <br />Fxis�ing Use of Bwlding �!�,�c�1�-- �HEAI� <br />Proposed Use ovl Building �4 � Gas /�. Eli <br />P.�ilding type /�Smgle Famlly ___ Duplex _Townhouse _ M�,u/lti-Family _ Commr.rc�al <br />Type ol pro�ecf New Adoil�on Remodcl Repair (1�.T I Sign _Spnnkler Dr.mohtion <br />DESCRIPTION OF WORK (add�hnnai space pro�idcAon I��r. back� <br />��l�('Un/(� AniD �6LoC�`"T/�v(� CxAf WQl.L f,�6�T.fJ'� <br />MECHANICAL PERMIT APPLICATION <br />01 Pro�ect: _New _ _ AAAn �_Allcration _Repair <br />- air 1 <br />ed 8if <br />W l�(Y �t('BIP.f <br />hC�ICf <br />SPRINK�ER / SUPPRESSION SYSTEM <br />Number ol lieads <br />PLUMBING PERMIT APPLICATION <br />7ype of Prqecl: _ _New _ Atltln _Alleralion _Repair <br />Sliow Numbcr !pl o/ (xtures <br />Ufl(1�� <br />UnnY.ing Fou <br />Flour dra�n <br />Grense lr. p <br />Ii001 �falillS <br />Medical Gas <br />Other <br />Olher <br />i I�rrrbY r ntl�ty Inal i liave n•arl nnd wammetl Ihs apD�Kalwn and hnow ihe wnic to �e We antl mrretl nll pm.�a�on•. ol hw: antl oN�nnnces gwem�ng ip¢ tYPo ol �� w��� Pr ui�q,�..al <br />w�l� wF�tiryi �,��nohpd hrrrm o� nGl l hn q�nLnq ol d permit �oe5 not p�esumt! In qrvp avlt�ority lo vm�ale ot olncrl ihe pmvi:ion Ol .lny olhC� 51�Ie o� Ipcdl I�p mgv�dl�ng cun �.p�cb�n <br />Thel I ani aoihon:r y ihi nwnci ol lhn w��no�ty InV� dnrm fic work ior wMch appLcatv�n is ni.idr an� I comply �rin I�e SIaIC CoNraclor l.iw 18 P RCW and .'9fi IOOA W/ C. <br />. � � r� J I3 <br />OwnedAutho ized A t Signalure Dalr (Rnvuedli40111 <br />